Seminole Tribe Of Florida Insurance for Outpatient Treatment

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As a sovereign government, the Seminole Tribe of Florida does not operate its healthcare system in accordance with U.S. laws, such as the Affordable Care Act (ACA). However, they have established their own government, customs, and services to support the growth and well-being of their community. These services include healthcare and behavioral health services, which are provided to help the community thrive. Despite not being bound by the ACA, the Seminole Tribe of Florida prioritizes the health and welfare of their members through their independent approach to healthcare.

What Is Seminole Tribe
Health Insurance?

The Seminole Tribe Health Plan differs from traditional health insurance as it operates independently. The Health Administration of the Seminole Tribe of Florida is responsible for managing the administrative, financial, and programming aspects of the healthcare system. This encompasses a wide range of services, including behavioral health, dental care, elder services, a health plan, a medical program, pharmacies, and various other healthcare-related initiatives. The Health Administration plays a vital role in overseeing and coordinating these services to ensure the well-being and healthcare needs of the Seminole Tribe community are met.

Does The Seminole Tribe Of Florida
Cover Outpatient Treatment?

The Seminole Tribe of Florida offers a comprehensive Health Plan that focuses on providing medical healthcare services to their Tribal Community in Florida. This plan encompasses a range of essential healthcare services such as health screenings, early interventions, education, as well as acute and post-acute care. While the plan does not function as an insurance policy, the dedicated team of health administration professionals works in coordination with your insurance company to facilitate coverage for a portion of the rehabilitation costs.

Within each of the Seminole Tribe’s health clinics, there is a specialized Center for Behavioral Health (CBH). This center aims to address the unique mental and behavioral health needs of Tribal Members, particularly those who may be dealing with substance abuse and related issues. The CBH offers a culturally sensitive approach and provides various integrated services, including substance abuse treatment, individual, group, and family therapy, crisis intervention and stabilization, treatment for mental health concerns, referrals to inpatient treatment programs, education on behavioral health problems, and depression screenings. The CBH is staffed by a team of licensed physicians, psychologists, psychotherapists, and qualified mental health professionals who are dedicated to promoting the emotional and physical well-being of individuals, their families, and the community as a whole.

Substance Abuse Treatment Covered

The Seminole Tribe of Florida offers evidence-based therapies to address substance abuse issues. These therapies include:


  1. Individualized drug counseling: Individual therapy is focused on helping individuals reduce or cease drug and/or alcohol use. It also addresses various aspects of their life, such as family and social relationships, employment, and involvement in illegal activities. The program aims to assist individuals in setting behavioral goals and developing coping strategies to maintain sobriety.


  1. Group counseling: Structured group therapy provides a platform for individuals to discuss their struggles with peers and learn from the experiences of others.


  1. Outpatient treatment programs: Outpatient substance abuse treatment allows individuals to reside at home while receiving treatment. These programs may incorporate different therapies and provide care for additional mental health disorders.


It’s worth noting that treatment options may vary based on the individual’s specific insurance plan. It is crucial to tailor addiction treatment to meet the unique needs of each person, addressing not only the addiction itself but also any co-occurring mental health disorders. As a result, the path to recovery can differ for each individual.

Insurance Plan types Offered
By The Seminole Tribe

The self-funded supplemental health plan provided by the Seminole Tribe of Florida is exclusively available to Tribe Members. Non-members who are interested in healthcare services may be eligible for direct purchase or referral healthcare through the Indian Health Authority but will need to register for health services.


The Eligibility & Utilization Services offered by the Seminole Tribe of Florida are designed to assist members in various ways. These services can help members obtain referrals for treatments that are not available within the tribe’s health clinics. They also facilitate negotiations with out-of-network healthcare providers to secure favorable rates. Additionally, the services manage the Medicare reimbursement program, ensuring that members receive appropriate reimbursement for eligible healthcare expenses. 


  1. The United States Department of Justice. Sovereign Immunity—Seminole Tribe and State Sovereign Immunity.
  2. Seminole Tribe of Florida. (n.d.) Medical Program.
  3. Seminole Tribe of Florida. (n.d.) Center for Behavioral Health.
  4. (n.d.). Your total costs for health care: Premium, deductible, & out-of-pocket costs.
  5. Seminole Tribe of Florida. (n.d.) Health and Human Services.
  6. Seminole Tribe of Florida. (n.d.) Standard Registration.
  7. Seminole Tribe of Florida. (n.d.) Eligibility and Utilization.
  8. National Institute on Drug Abuse. (2018, January). Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition) Types of Treatment Programs.